Kuopsa kokhala ndi magazi ( deep vein thrombosis kapena DVT ) pamene chithandizo cha khansa ndi chenicheni koma nthawi zambiri sichinyalanyazidwa. Anthu onse adziwa kwambiri za DVTs pamene wolemba nkhani pa TV, David Bloom, adamwalira kuchokera ku pulmonary pulmonary embolism pamene adalengeza kuchokera ku Iraq, koma pakadalibe kudziŵa pang'ono za vutoli lodziwika bwino la khansa.
Chomvetsa chisoni n'chakuti ambiri opulumutsidwa ndi khansa omwe adayambitsa magazi (omwe amatha kupita kumapapo monga mapulitsimake) sanazindikire kuti izi ndizofala bwanji (ndipo zingakhale zakupha).
Kudziwa zizindikiro zomwe muyenera kuyang'ana, ndipo zomwe mungachite kuti muchepetse chiopsezo chanu zingathandize kwambiri kuchepetsa mwayi kuti vutoli lidzasokoneza chithandizo cha khansa.
Kodi Magazi Amagazi (DVTs) Ndi Chiyani?
DVT ndi magazi amagazi omwe amapanga mu mitsempha yamkati mu thupi, kawirikawiri pamilingo. Ngati chovalachi chimasokonekera, chimatha kupita kumapapo ndikupangitsa kuti mitsempha ifike m'mapapo, mkhalidwe wotchedwa pulmonary embolism .
Momwe Magazi Amadziwika Amagwiritsira Ntchito Khansa Yam'mimba
Pakati pa 3 peresenti ndi 15 peresenti ya anthu omwe ali ndi khansara yamapapu amapanga magazi panthawi yachipatala, malinga ndi maphunziro osiyanasiyana. Zimakhala zofala kwambiri kwa anthu omwe ali ndi khansa ya m'mapapo yopanda maselo kusiyana ndi khansa yaing'ono yamapapo ya m'mapapo , ndipo anthu omwe ali ndi adenocarcinoma amaoneka kuti ali pangozi yaikulu. Zinthu zina zomwe zimawonjezera ngozi ndi monga kukhala ndi khansa ya m'mapapo yapamwamba (monga siteji 4 kapena metastatic disease) kapena kulandira mankhwala a chemotherapy, makamaka mankhwala othandizira, kapena opaleshoni ya pambuyo pake.
Pafupifupi asanu ndi awiri mwa anthu 100 aliwonse amene ali ndi opaleshoni ya khansa yamapapo adzakhazikitsa magazi.
Kufunika Kodziwa Kuvala Magazi (DVTs)
Ndikofunika kwambiri kuyang'ana mazira a magazi chifukwa angathe kuchepetsa kupulumuka ndi khansara yamapapo. Phunziro limodzi, odwala omwe ali ndi khansa ya m'mapapo yopanda maselo anali ndi 1.7 powonjezera chiopsezo cha kufa ngati ali ndi DVT.
Kafukufuku wina anapeza kuti odwala khansa ya m'mapapo omwe anali ndi DVT osachepera theka limodzi ngati omwe alibe DVT. Kuphatikizidwa koopsa kwambiri kwa magazi ndikuti iwo amachoka ndikupita kumapapo, vuto lodziwika ngati pulmonary embolism, lomwe lingathe kupha ngati silingatengedwe. Ngakhalenso zotsalira zomwe sizimasokonekera, mukhoza kukhala ndi ululu wopweteka wam'mbuyo mtsogolomu ngati sakulandira chithandizo, chomwe chimadziwika kuti matenda a post-thrombotic. Dokotala wanu adzayang'ana miyendo yanu mukakhala kuchipatala, makamaka mukatha opaleshoni, koma chiwerengero chapamwamba cha opaleshoni pambuyo pa opaleshoni ndi masiku asanu ndi awiri pambuyo pake - nthawi yomwe anthu ambiri akhoza kubwerera kwawo.
Kuvala Magazi Kungayambitse Kutanganidwa Kwambiri Kuyambira Kale
Ngakhale pakati pa madokotala, zikuwoneka kuti ndikumverera kuti magazi amatha pambuyo pake mu matenda kapena pambuyo pa mankhwala ambiri. Si choncho. Kufufuza kwa 2014 kunapeza kuti opitirira 13% mwa atsopano omwe anapezeka (mkati mwa sabata imodzi) anali ndi magazi. Pafupifupi asanu peresenti nayenso anali ndi pulmonary emboli.
Mavuto Amene Amawopsa
Kukhala ndi khansa ya m'mapapo yokha kumapangitsa kuti pakhale ngozi yoika magazi, koma zina zimapangitsa kuti pakhale ngozi. Ena mwa awa ndi awa:
- Opaleshoni ya opaleshoni ikhoza kuonjezera chiopsezo cha kupha magazi, koma opaleshoni pachifuwa (monga opaleshoni ya khansa yamapapo) ndi opaleshoni ya m'mimba ndizovuta kwambiri.
- Chemotherapy ndi zina zochiritsira mankhwala
- Kulephera kugwira ntchito kapena kupuma kwa nthawi yaitali
- Matenda ena a mapapo monga COPD
- Kusuta
- Ulendo. Ulendowu umawonjezeka ndi ngozi kapena ndege. Izi zingakhale zodetsa nkhaŵa kwa iwo amene amayenera kuyenda maulendo ataliatali kukachiritsidwa
Zizindikiro
Muyenera kuyang'ana mitundu iwiri ya zizindikiro. Zomwe zimayenera chifukwa cha khungu lanu m'miyendo yanu, kapena zomwe zingasonyeze kuti clot yapita kumapapu anu (pulmonary embolism).
Zizindikiro za magazi m'milingo (DVT) :
- Palibe - Nthaŵi zina magazi amapezeka popanda chizindikiro chilichonse
- Zowawa za mimba / ng'ombe - Makamaka kupweteka kwa mtundu umodzi mwa mwendo umodzi
- Kutupa
- Kufiira
- Chikondi
- Ululu wokhala ndi zala zazing'ono - Zowawa chifukwa cha magazi azimayi nthawi zambiri zimakula ngati mumagwira zala zanu kumutu
Zizindikiro za embolism ya pulmonism :
- Kupweteka kwa chifuwa - Kupweteka pachifuwa chomwe chimagwirizanitsidwa ndi pulmonary embolism kawirikawiri kumakhala kovuta ndi kukhwima ndi kupuma kwambiri
- Kupuma kwapang'onong'ono kofulumira
- Lightheadedness kapena kutaya
- Kuwaza magazi (hemoptysis) - Ndikofunika kudziwa chizindikiro ichi kuyambira khansara ya mapapo yokha ingakuchititseni kuti mukhomere magazi
Nthawi Yodziwitsa Dokotala Wanu
Zonse mwazizindikirozi ziyenera kukupangitsani kuti muitane dokotala wanu pomwepo. Kutupa kwa pulmonary kungathe kupha, ndipo muyenera kuitanitsa 911 mwamsanga ngati muli ndi zizindikiro zomwe zingakuwonetseni kuti muli ndi pulmonary embolism .
Malangizo Othandizira
- Gwiritsani ntchito ana anu aang'ono pansi kapena mutagona pabedi. Lembetsani zala zanu kumutu wanu ndi kubwereza kangapo
- Pamene mukuyendetsa galimoto, pita kawirikawiri, mutuluke, ndikuyenda mozungulira galimoto. Mukamayenda mumlengalenga, kwerani ndikuyenda mozungulira maola awiri alionse
- Pambuyo pa opaleshoni, yesetsani kuyenda mwamsanga pamene adokotala akudziwitsani kuti ndibwino
- Musasute
- Imwani madzi ambiri
- Pewani mowa ndi khofi - Zonse zoledzeretsa ndi zakumwa za khofi zingakulepheretseni kukupatsani mpata
- Ngati makina osungira (support hose) akulimbikitsidwa, vvalani izi malinga ngati adokotala akukulangizani
- Onetsetsani kuthamanga kwanu kwa magazi ndi kumwa mchere - Kuthamanga kwa magazi kumapangitsa kuti pakhale ngozi yambiri ya magazi, ndipo zingakhale zosavuta kunyalanyaza vutoli "laling'ono" pakati pa matenda a khansa
- Tsambani miyendo yanu popuma
- Funsani gulu lanu la chisamaliro za njira zomwe zingachepetse chiopsezo cha kuika magazi m'magawo anu. Nthaŵi zina, mankhwala amalembedwa komanso kuchepetsa ngozi
Zambiri mwaziopsezozi zimachitika paulendo. Ngati mupita kuchipatala kapena kusangalala, onani ndondomeko yoyenda ndi khansa .
Kudziwa
Gawo lofunika kwambiri pa kufufuza magazi ndikumadziwa za vutoli. Ngati muwona zizindikiro zirizonse kapena dokotala wanu akukhudzidwa, kuphatikiza kwa kuyesera kwa magazi ndi kuyezetsa magazi kungathe kudziwa ngati magazi alipo.
Chithandizo
Mankhwala a DVTs ndi / kapena pulmonary yomwe ili ndi khansara imaphatikizapo kuchepetsa chiopsezo chotseketsa ndi kutaya ma clot omwe achitika. Kusamaliranso kumafunikanso nthawi zambiri, makamaka ngati zizindikiro monga kupuma pang'ono kwachitika ndi pulmonary emboli.
Mankhwalawa angaphatikizepo kuphatikiza kapena mankhwala am'nkhwala warfarin ndi heparin yogwiritsira ntchito mankhwala kapena mankhwala omwe ali ndi mankhwala atsopano.
Mawu Ochokera
Mankhwala a magazi amapezeka kwambiri pakati pa anthu omwe ali ndi khansa ndipo amatha kupezeka kuchipatala kapena imfa. Pali zinthu zambiri zomwe zimapereka. Kansa nthawi zina imayambitsa ngozi. Kuchita opaleshoni ndi mankhwala enaake kumabweretsa ngozi. Ndipo ntchito zochokera ku bedi kupita ku galimoto kapena kupita ku maulendo kuti zitha kuchipatala zimayambitsa ngozi.
Onetsetsani kuti mukudziwa bwino zizindikiro za magazi m'milingo (deep vein thrombosis) komanso magazi omwe amapita kumapapo (pulmonary emboli). Funani thandizo mwamsanga ndipo musadikire ngati zina mwa izi zikuchitika. Nthawi ingakhale yofunika kwambiri. Dziwani njira zomwe mungachepetsere chiopsezo monga kusuntha miyendo yanu nthawi zambiri. Ngati oncologist wanu akuyamikira magazi ochepetsetsa, mumutenge mozama. Poyang'anapo, anthu ambiri amakumbukira zochitika zomwe zinayambitsa ngozi zawo komanso oyambirira, koma zizindikiro zosadziwika. Mankhwala a magazi amatha kuchiritsidwa kwambiri ngati amapezeka nthawi.
> Zotsatira:
> Connolly, G. et al. Kukula ndi Kufunika Kwachipatala Kufunika kwa Odwala ndi Odwala Kachilomboka Chotupitsa Chithokomiro M'thupi mwa odwala Khansa ya M'mimba. Khansara Yam'mimba Yamakono . Lofalitsidwa pa Intaneti 29 July 2013.
> Zhang, Y. et al. Kukula ndi Mgwirizano wa VTE mwa Odwala Amene Ali ndi Khansa Yam'mimba Yatsopano. Chifuwa . 2014. 146 (3): 650-8.